Ping-Ling Chen

Ping-Ling Chen
Taipei Medical University | TMU · Graduate Institute of Injury Prevention and Control

Ph.D.

About

90
Publications
8,486
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1,605
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Publications

Publications (90)
Article
Long-term exposure to high concentrations of air pollution is known to lead to increased cardiovascular disease, but it remains unclear whether short-term exposure increases the incidence of acute myocardial infarction (AMI) and acute heart failure (AHF). A time-stratified case-crossover design was used, including data from the 2-year period (Janua...
Article
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The study results serve as a reminder for parents, children, and drivers to be alert to the danger of traffic crashes on Halloween. The aim of this study was to examine whether Halloween is associated with a higher incidence of traffic injuries and whether traffic injuries sustained on Halloween are more severe than those sustained on other days. T...
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Importance Literature has suggested that trauma among pregnant women is associated with an increased risk of adverse pregnancy outcomes. However, limited research has investigated the association of trauma with adverse pregnancy outcomes by using a national data set. Objective To investigate the association between traumatic injury and adverse pre...
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Background: Studies have suggested that trauma centre-related risk factors, such as distance to the nearest trauma hospital, are strong predictors of fatal injuries among motorists. Few studies have used a national dataset to study the effect of trauma centre-related risk factors on fatal injuries among motorists and motorcyclists in a country whe...
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Background: Research suggests that drivers tend to engage in risk-taking behaviours on public holidays. Studies that examined the association between holidays (or other special days) and fatal injuries are inconsistent. This study used UK STATS19 data to investigate the associations of nine public holidays on road crash casualties. Methods: This...
Article
Background Alcohol-involved riders tend to engage in other risk-taking behaviours such as un-helmeted riding which could further increases injury severity. The combined effect of alcohol-involved and un-helmeted riding on fatal injuries is rarely investigated. This study investigated the interaction effect between blood alcohol concentration and he...
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Introduction. Unintentional injury remains the leading cause of death in children worldwide. Adequate parental supervision is a crucial strategy for preventing injury. Many factors, such as a large family size, poor socioeconomic status, and the caregiver being a single mother, contribute to unintentional injury in children. In addition, sleep depr...
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Background: Falls represent a global health issue among older adults and cause a considerable burden on medical systems. In this study, a fall-risk assessment profile was developed for community-dwelling older adults. Method: The data of survey participants aged > 65 years were obtained from three rounds (2005, 2009, and 2013) of the National He...
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Background: Motorcycle full-coverage helmet use may reduce fatalities and head injuries. Methods: This retrospective cohort study extracted injury data from eight level-I trauma centres in Taiwan and performed a questionnaire survey to investigate injuries sustained by motorcyclists for the period between January 2015 and June 2017. Results: A...
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Background: Motorcycle full-coverage helmet use may reduce fatalities and head injuries. Methods: This retrospective cohort study extracted injury data from eight level-I trauma centres in Taiwan and performed a questionnaire survey to investigate injuries sustained by motorcyclists for the period between January 2015 and June 2017. Results: As man...
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Background: Allowing contraflow cycling on one-way streets has been reported to reduce crash risks in Belgium and the United Kingdom. Similarly, walking against traffic on roadways without sidewalks substantially improves pedestrian safety. This study examined fatalities and head injuries sustained by pedestrians in against-traffic and with-traffi...
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Objectives Sun glare is a serious driving hazard and increases crash risks. Relatively few studies have examined the effects of sun glare on pedestrian fatalities, given that a crash has occurred. The primary objective of this study was to investigate the effect of sun glare on pedestrian fatalities. Design A population-based case–control study....
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A growing literature indicates that electronic cigarette use increases the risk of subsequent initiation of conventional smoking among cigarette-naïve adolescents in several Western countries. This research assesses the same relationship in an Asian country, Taiwan. The Taiwan Adolescent to Adult Longitudinal Study is a school-based survey that was...
Article
Objectives: In western countries, a typical car-motorcycle crash occurs at an intersection where a car manoeuvres into the path of an oncoming motorcycle, which involves a car driver violates motorcycle's right of way (ROW). In Taiwan, however, a unique type of crash (approach-turn crash) occurs when a turning (including U-turn) motorcycle frequent...
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Several emerging smartphone location-based augmented-reality (AR) games require three primary tasks: training or battling a monster, capturing a monster, and searching for a monster, which involve different levels of perceptual load. Using the AR game originated from Japan as a single case study, this study examined inattentional blindness and deaf...
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Background Smartphone addiction has become a crucial social issue. Past studies have indicated that phone use such as talking or texting while walking constitutes a dual task that may cause pedestrians inattentional blindness and impair their awareness of surroundings. Methods This study investigated the influence of various smartphone tasks (call...
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Objectives Crashes due to motorcyclists colliding with an open car door can cause devastating injuries. In Taiwan, such crashes typically occur when the motorcyclist is travelling alongside a row of parallel-parked cars, and a driver suddenly opens the door in front of or next to the motorcycle without determining whether it is safe to do so. Injur...
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The most typical and catastrophic car-motorcycle crash occurs when a car manoeuvres into the path of an approaching motorcycle at an intersection, which involves a car driver violating motorcycle’s right of way (ROW). In Taiwan, however, motorcyclists are frequently the ROW violator—they are observed to frequently infringe upon the ROW of oncoming...
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The bikeshare program in Taipei City and New Taipei City, called U-bike, was launched in August 2012 and has more than 7500 bicycles operating out of 769 stations. Research has suggested that bicycle helmet use is a means of reducing morbidity and mortality among bike users. Helmets, however, are not available for rent when a U-bike is rented. The...
Article
Since the launch of the smartphone game “Pokemon Go”, the worldwide craze has led to numerous traffic crashes and injuries resulting from falling or tripping. This paper investigates the effects of several smartphone distracting activities (gaming, talking, texting, Web surfing, and listening to music) on the street-crossing behaviours of pedestria...
Conference Paper
Objectives: Fourteen-day rehospitalization with new traumatic spinal cord injury (tSCI) diagnosis is used as an indicator for the diagnostic quality of the first hospitalization. In this nationwide population-based cohort study, we identified risk factors for this indicator. Methods: We conducted a nested case–control study by using the data of pat...
Article
The objective of the study was to introduce the methodology and report on cohort description of Taiwan Adolescent to Adult Longitudinal Study (TAALS). TAALS is the first nationwide longitudinal survey among Taiwan adolescents, linked with the National Health Insurance Research Database (NHIRD) to obtain complete medical records of respondents in th...
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Objectives Bicyclists and motorcyclists contribute substantially to the morbidity and mortality rates of road crash casualties. The objective of the study was to investigate the crash characteristics of bicyclist and motorcyclist casualties presented to hospitals in Taiwan resulting from crashes. Methods By using linked data from The National Traf...
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Purpose: To assess the reduction of 6 and 12 months postoperatively of Framingham risk score in morbidly obese patients with laparoscopic sleeve gastrectomy (LSG). Material and methods: In total, 870 morbid obesity patients received LSG in Taipei Medical University Hospital from June 2007 to June 2014 were retrospectively studied preoperatively,...
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Introduction According to official statistics in Taiwan, the main body region of injury causing bicyclist deaths is the head, and bicyclists are 2.6 times more likely to be fatally injured than motorcyclists. There is currently a national helmet law for motorcyclists but not for bicyclists. Objectives The primary aim of this study was to determine...
Article
Full-text available
Objectives: Fourteen-day rehospitalization with new traumatic spinal cord injury (tSCI) diagnosis is used as an indicator for the diagnostic quality of the first hospitalization. In this nationwide population-based cohort study, we identified risk factors for this indicator. Methods: We conducted a nested case-control study by using the data of...
Article
Full-text available
OBJECTIVES: Fourteen-day rehospitalization with new traumatic spinal cord injury (tSCI) diagnosis is used as an indicator for the diagnostic quality of the first hospitalization. In this nationwide population-based cohort study, we identified risk factors for this indicator. METHODS: We conducted a nested case-control study by using the data of pa...
Article
Pedestrians’ head-turning behaviours are crucial to navigating streets safely. This research investigates the effects of phone use on pedestrians’ street-crossing behaviours at an uncontrolled intersection where head-turning performances are important to identify a gap among the oncoming traffic. A field study using video cameras was conducted for...
Article
The paper investigates the effects of phone use (talking, texting, and listening to music) on the street-crossing behaviours of pedestrians and their inattentional blindness in Taiwan. Recent handsets with touchscreens, as well as more advanced features including multimedia, and mobile applications (apps), exacerbate problems relating to cognitive...
Article
Background Traffic injury is the leading external cause of unintentional injury in Taiwan. The aim of this study was to determine the utilisation of emergency-visit, hospitalisation, and medical expenditures by different type of vehicle crash. Methods Claim data were collected from the Taiwan National Health Insurance Research Database for patient...
Article
This paper examines pedestrian anatomical injuries and crash characteristics in back-to-traffic and facing-traffic crashes. Pedestrian crashes involving pedestrians walking along streets (i.e. with their backs to traffic or facing traffic) have been overlooked in literature. Although this is not the most frequent type of crash, the crash consequenc...
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Objectives: Recurrent falls not only have risk factors different from those of single falls but also have less favorable outcomes. The aim of our study was to determine the association between the injury characteristics of a first fall and the likelihood of recurrent injurious falls in a cohort of hospitalized patients. Methods: We designed a na...
Data
ICD-9-CM codes for comorbidities. (DOCX)
Article
Full-text available
OBJECTIVES: Recurrent falls not only have risk factors different from those of single falls but also have less favorable outcomes. The aim of our study was to determine the association between the injury characteristics of a first fall and the likelihood of recurrent injurious falls in a cohort of hospitalized patients. METHODS: We designed a natio...
Article
Background Injuries by motor vehicle crashes remain the priority concern in the public-health. The aims of this study were to determine the distribution of varied severity of motor vehicle crash (MVC) injuries, and the time trend of MVC injuries by different car type between 2003 and 2010 in Taiwan. Methods Pooled data from Taiwan׳s National Traff...
Article
Parental smoking has been identified as the major source of children's exposure to environmental tobacco smoke (ETS). Therefore, parental involvement is critical in ETS exposure prevention programs. This study examined the effects of a parent-child interactive program on reducing children's exposure to ETS at home and enhancing parents' and childre...
Conference Paper
Introduction: There is lack of article reviewing the predicted effect of injury characteristics of first fall on recurrent fall. Our aim was to evaluate the predicted effect of injury severity and anatomical location of the first fall on recurrent fall among general population in Taiwan. Methods: We conducted a nested case-control study among hospi...
Article
Literature has suggested that angle/rear-end collisions would arise from the reality that motorists and motorcyclists tended to accelerate aggressively in response to the remaining seconds of green signal countdown device (GSCD). One safety concern, while GSCD has gradually been removed for safety in Taiwan, is pedestrian green signal countdown dev...
Conference Paper
Background: According to the statistics reported by Ministry of Health and Welfare (MOHW) in 2012, unintentional injury was ranked as the 6th cause of death for the whole population in Taiwan. Motor vehicle traffic related injuries were the leading cause of unintentional injury deaths. Geographic disparities across urbanization levels were reported...
Article
We developed and psychometrically tested four scales for measuring the perceptions of parental smokers and family members' influences on smoking behavior in the presence of children in Taiwan. Data were collected from 309 parental smokers with school-aged children. The results of factor analysis revealed two to three factors within each scale, and...
Article
Although public smoking restrictions have been implemented, children are still exposed to household smoking. Parental smoking is the main source of children's exposure to secondhand smoke. This study was conducted to examine the factors associated with parents' adoption of home smoking bans. A cross-sectional study was conducted using a self-admini...
Article
To evaluate the effectiveness of an accessibility-enhanced multimedia informational educational programme in reducing anxiety and increasing satisfaction with the information and materials received by patients undergoing cardiac catheterisation. Cardiac catheterisation is one of the most anxiety-provoking invasive procedures for patients. However,...
Article
Chinese patients with ESRD have different comorbidity patterns than white patients with ESRD and require a validated comorbidity index. The objective of this study was to develop a new index for mortality prediction in 2006-2009 Taiwanese incident hemodialysis patients. Data were retrieved from 2005 to 2010 Taiwan National Health Insurance claim re...
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In 2009, the Tobacco Hazards Prevention Act (Taiwan) was amended to more effectively restrict smoking in indoor public places and workplaces in Taiwan. However, the lack of prohibitions for smoking in private homes may place family members at increased risk for exposure to environmental tobacco smoke (ETS). The aim of our study was to determine the...
Article
Aim and objectivesTo explore risk factors for coronary artery disease (CAD) among middle-aged women in Taiwan. Background Coronary artery disease is a leading cause of death among females. Risk factors for CAD vary due to differences in ethnicity, gender and age. However, few studies have documented risk factors among middle-aged women. DesignWe em...
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Parental smoking is the major source of children's secondhand smoke exposure and is influenced by parents' perception of children's exposure. However, the factors associated with these perceptions remain unclear. The objective of this study was to examine factors associated with parents' perceptions about parental smoking in the presence of childre...
Article
New nurses undergo a stressful and challenging transition process in the nursing workplace. Lack of patient care knowledge and skills and work adaption difficulties lead to a high turnover rate that drains essential new talent away from the nursing profession and further exacerbates professional staffing shortages in the healthcare sector. The "las...
Article
The purpose of this study was to explore parents' experience and perceptions of smoking in the presence of children. Findings regarding patterns of parents' smoking in the presence of children were situation specific. When thinking of smoking with children around, parents engaged in a process of weighing the importance of the need to smoke and adve...
Article
Chinese-language scales for assessing quality of life in women around menopause are rare. This study was conducted to evaluate the psychometric properties of a Chinese-language version of the Utian Quality of Life Scale (UQOL-C). A sample of women (n = 434) between 41 and 60 years old was recruited from an obstetrics/gynecology outpatient departmen...
Conference Paper
Objectives, The objectives of this study were to report the City and the County levels' breastfeeding rates by participants in the maternity experience survey of the Taiwan. Including hospitalization and at 1 and 2 months after delivery. Methods. The 11,015 eligible Women were selected from a randomly selected sample of infants born 4-8 months befo...
Article
Most smokers in developing countries begin smoking before age 18, and smoking prevalence is rising among adolescents. School personnel represent a target group for tobacco-control efforts because they interact daily with students, are role models for students, teach about tobacco-use prevention in school curricula, and implement school tobacco-cont...
Article
To gain an understanding of the accuracy of acuity assessment made by emergency department (ED) triage nurses, to compare the differences between the characteristics of triage nurses according to hospital variables and the accuracy of acuity ratings, and to explore the influence of nursing variables on the judgement of triages. A cross-sectional qu...
Article
Although there is a significant correlation between the degree of family support and clinical outcome, little research has focused on the effectiveness of family partnership intervention care (FPIC) for patients with poorly controlled type 2 diabetes. This study aimed to compare FPIC with conventional care (CC) across a number of outcome measures i...
Article
Social acceptance of smoking is associated with smoking prevalence. Higher smoking rates and ETS exposure might be considered as important indicators for pro-tobacco social norms or social climate. Among studies indicating the association between youth smoking and adult smoking behaviors, most were from individual-level study designs. An ecological...
Article
This paper is a report of a study of the effect of supportive care on anxiety levels of women with suspected breast cancer during the diagnostic period. Informational and psychosocial support has been shown to improve care outcomes for women with breast cancer. However, little is known about the effect of supportive care on women's psychological st...
Article
To investigate the effect of supportive care on healthcare and support needs for women with suspected breast cancer during the diagnostic period. A quasiexperimental design with two nonrandomly assigned groups. Two general surgery outpatient departments at a large teaching hospital in Taiwan. Experimental and control groups included 62 and 60 women...
Article
Most smokers begin using tobacco in their teens and recent reports indicate that smoking prevalence is climbing among youth in Taiwan. The purpose of this paper was to determine the associated factors of susceptibility of youth smoking by different types of schools. A total of 4689 junior high students and 3918 senior high students participated in...
Article
The 2003 School Health Act of Taiwan stipulated that school campuses of senior high and below should be smoke free, but data from the Global Youth Tobacco Survey show that the majority of students are exposed to smoke in public and at home. More than 50% of nonsmokers indicated that they had been exposed to secondhand smoke (SHS) in public places,...
Article
Stress urinary incontinence is extremely common in women. Conservative management includes pelvic floor muscle exercises to increase strength and muscular contraction forces to improve incontinence. We examined the effects of passive and active ankle flexion on pelvic floor muscle activity during exercises. A total of 31 married women performed ran...
Article
Tobacco use is a major preventable cause of death in the world. This article describes and compares tobacco use prevalence for students attending junior high schools and senior high schools in Taiwan. This report uses data from the Global Youth Tobacco Survey (GYTS) completed among 4689 junior high school students and 4426 senior high school studen...
Article
Botulinum toxin type A (BTA) has been used on facial expressive muscles to reduce wrinkles. We assumed that intradermal injection with BTA on the middle and lower face can produce face-lifting and wrinkles-soothing effect by promoting collagen synthesis. Nine volunteers were included to undergo intradermal injections of a total dose of 20~25 U BTA...
Conference Paper
The objective of the study is to determine the smoking behavior, smoking attitude, and perceptions of tobacco hazards and campus tobacco prevention policy among senior high school personnel to serve as a reference for future tobacco prevention program on campus. The target population of the study is the personnel from public and private senior hi...
Article
A possible diagnosis of breast cancer imposes a huge psychological impact on most women, but few studies have addressed uncertainty and anxiety changes at different diagnostic stages in women with suspected breast cancer. Thus, this longitudinal study examined uncertainty and anxiety and predictive factors for uncertainty in women with suspected br...
Article
To provide a culturally and linguistically specific survey instrument for tobacco consumption in Taiwan, we evaluated the reliability and validity of a Chinese translation of the 1993 US Tobacco Use Subscale of Behavioral Risk Factor Surveillance System (TU-BRFSS). An integrative translation was followed by a pilot study of 100 randomly selected ad...
Data
Final Chinese version of Global Youth Tobacco Survey. Chinese-version GYTS distributed to Taiwanese youth (in Mandarin).
Article
Full-text available
Tobacco smoking poses public health concerns because of its high risk for many chronic diseases. Most smokers begin using tobacco in their teens and recent reports indicate that smoking prevalence is climbing among youth. The Global Youth Tobacco Survey (GYTS) is a worldwide, school-based, tobacco-specific survey, but cross-cultural differences lim...
Article
This paper is a report of a study to investigate changes in the healthcare and support needs during the diagnostic period, and factors that affect these needs in women with suspected breast cancer. Although the needs of women with breast cancer are well recognized, few studies have examined the needs of women with suspected breast cancer during the...
Article
To develop and evaluate a Web-based, patient-orientated diabetic education management (POEM) system. The POEM system has been developed to extend hospital patient education by integrating patients' medical care data into their education program components and presenting them on the Web. Since most patients are concerned about their medical care dat...